| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.25 | $5.25 | $5.25 | |
Aetna
| Professional | $5.25 | $5.25 | $13.58 | |
United
| Professional | $9.55 | $13.94 | $20.03 |
Parenteral Nutrition Solution Not Otherwise Specified 10 Grams Lipids (Desc Rvsd 1/1/20)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.25 | $5.25 | $5.25 | |
Aetna
| Professional | $5.25 | $5.25 | $13.58 | |
United
| Professional | $9.55 | $13.94 | $20.03 |